DYERSBURG KIDNEY CLINIC, INC
NPI 1821207911
Chronic Disease Hospital in Jackson, TN
NPI Status: Active since May 22, 2007
Contact Information
16 MURRAY GUARD DRIVE
JACKSON, TN
ZIP 38305
Phone: (731) 668-4284
- Organization
- Chronic Disease Hospital
- CLIA Number: 44D0313396
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About DYERSBURG KIDNEY CLINIC, INC
This page provides the complete NPI Profile along with additional information for Dyersburg Kidney Clinic, Inc, a provider established in Jackson, Tennessee operating as a Chronic Disease Hospital. The healthcare provider is registered in the NPI registry with number 1821207911 assigned on May 2007. The practitioner's primary taxonomy code is 281P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Kandala Ram Chary M.d. (Medical Director)
- NPI
- 1821207911
- Provider Name
- DYERSBURG KIDNEY CLINIC, INC
- Entity Type
- Organization
- Location Address
- 16 MURRAY GUARD DRIVE JACKSON, TN 38305
- Location Phone
- (731) 668-4284
- Mailing Address
- 640C HWY 51 BYPASS DYERSBURG, TN 38024
- Mailing Phone
- (731) 668-6907
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-22-2007
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chronic Disease Hospital
- Taxonomy Code
- 281P00000X
- Type
- Hospitals
- License State
- TN
- Taxonomy Description
- (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 282N00000X | Hospitals | General Acute Care Hospital | MD00000124 (TN) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D0313396
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- DR. MARK P. BURTON
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Dyersburg Kidney Clinic, Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1821207911, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821207911, enumerated as an "organization" on May 22, 2007.
The provider is located at 16 MURRAY GUARD DRIVE JACKSON, TN 38305 and the phone number is (731) 668-4284.
Chronic Disease Hospital with taxonomy code 281P00000X.
